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Medicare LCD for 90832-90838

D

doronzoa

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1
I was researching LCD requirements for 90832. I have a claim with DX 295.32, but LCD 26895 states only schizo unspecified is covered (295.20, 295.30, 295.40...). Why would Medicare cover an unspecifed code when a more specific code is available?

They clearly cover the condition and I dont believe condition is severe enough that psychotherapy wouldnt help (such as in severe dementia cases).

Any clarification would be helpful!
 
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